Provider Demographics
NPI:1447486261
Name:QUINN, CLAIRE ALLEN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:ALLEN
Last Name:QUINN
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1009A N DUPONT SQ
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4612
Mailing Address - Country:US
Mailing Address - Phone:502-894-9950
Mailing Address - Fax:502-894-9991
Practice Address - Street 1:1009A N DUPONT SQ
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4612
Practice Address - Country:US
Practice Address - Phone:502-894-9950
Practice Address - Fax:502-894-9950
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYPA1205363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical